Regional Business Office Director

Regional Business Office Director

Salary: $83,200 - $91,520 (depending on experience) Hourly Equivalent: $40 - $44/hour (depending on experience) Shift: Full-Time (40 hrs/week) Schedule: Monday- Friday, Days

Taconic Nursing and Rehabilitation is seeking an experienced Regional Business Office Director to oversee four to five facilities. Reporting to the Chief Financial Officer, you'll provide leadership, support financial performance, ensure compliance with company procedures, and mentor facility business office teams to promote operational efficiency and financial accountability.

Responsibilities:

• Oversee business office operations across 4–5 skilled nursing facilities
• Monitor accounts receivable, private pay collections, and Medicaid Pending accounts to identify and resolve outstanding balances
• Support month-end closing activities, bad debt analysis, resident refunds, and account adjustments
• Review accounts for attorney referrals and write-offs as appropriate
• Ensure resident trust accounts are reconciled and maintained accurately
• Conduct facility audits to ensure compliance with company policies, procedures, and financial standards
• Train, mentor, and support Business Office Managers, including onboarding and staff development
• Develop and maintain training materials, standard operating procedures, and process improvements
• Supervise the Medicaid Coordinator and coordinate support based on facility needs
• Collaborate with Administrators, regional leadership, and corporate finance to address operational concerns
• Provide onsite support during Business Office Manager vacancies and travel between assigned facilities as needed

Requirements:

• Minimum 5 years of skilled nursing facility business office experience required
• Strong knowledge of New York State Medicaid eligibility, applications, and pending processes
• Knowledge of resident trust fund requirements, refunds, and skilled nursing financial operations
• Proficiency in PointClickCare (PCC) or similar systems and Microsoft Excel
• Strong leadership, training, communication, and organizational skills
• Ability to analyze financial information, identify concerns, and implement corrective actions
• Ability to manage multiple facilities, prioritize responsibilities, and maintain accountability
• Willingness and ability to travel between assigned facilities as needed

Benefits:

• Paid Time Off (PTO) for Full-Time and Part-Time
• Weekly or Same-Day Pay Options
• Health, Dental, and Vision Insurance
• Life Insurance
• Employee Referral Bonus Program
• Retirement Saving Options